Boismenue, Stuart Nicholas

Boismenue, Stuart Nicholas is an sole proprietor health care provider with primary practice located at 138 S Stevens St , Rhinelander WI 54501-3433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boismenue, Stuart Nicholas can be contacted via phone (715) 365-4040.

Contact Information

Primary practice address
138 S Stevens St Rhinelander WI 54501-3433
Phone: (715) 365-4040
Fax: (715) 365-4045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23395 Wisconsin

Profile Details

NPI number 1134261522
LBN Legal business name Boismenue, Stuart Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134261522 NPPES
Wisconsin MEDICAID 30344400
Wisconsin Other 23395

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